Insurance Claims, Disability Case Manager I or II ShortTerm Disability (STD) - Atlanta, GA
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Location: Atlanta, GA
The Disability Case Manager I or II is responsible for reviewing, investigating and documenting Short Term Disability (STD) claims to determine eligibility for benefits. Typically handles non-statutory, non-occupational claims using duration guidelines.
Primary duties may include, but are not limited to:
- Assist Disability Case Managers (DCM’s) with claim action plans.
- Gather clinical and eligibility information
- Assist in the daily review of each DCM’s Action Items
- Work from Reports and collaborate with each DCM regarding questions related to items on the Report
- Request Medical Records as needed
- Assist the DCM in summarizing Medical Records
- Sends Letters or Forms as needed
- Other duties as assigned
High School Diploma 1 to 2 years of experience in claims or customer service preferably in the managed care or healthcare insurance industry;
or any combination of education and experience which would provide equivalent background Excellent oral and written communication skills PC literate including Microsoft Office products Strong organizational skills Ability to work in a Team environment
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. Equal Opportunity Employer/Disability/Veteran.
teshalemengistu047@gmail.com
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